| NPI | 1902217508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 295541) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD464661) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME153193) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2023-06-29 |